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Osmotic Diuretic

Mannitol for Hemodialysis Complications

Phase 2 & 3
Recruiting
Led By Finnian R Mc Causland, MBBCH, MMSc
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 4 weeks
Awards & highlights

Summary

This trial will compare the effects of mannitol (a sugar alcohol) to placebo on blood pressure and symptoms in adult dialysis patients.

Who is the study for?
This trial is for adults over 18 who are on maintenance hemodialysis for at least 90 days and often have low blood pressure during treatment. They must not be pregnant, planning a kidney transplant soon, or have had a recent heart attack or stroke. Also, they can't join if they're allergic to mannitol or have very high potassium levels.
What is being tested?
The study is testing whether mannitol can help maintain stable blood pressure in patients who experience significant drops during hemodialysis compared to the usual saline solution. Participants will receive either mannitol or saline while undergoing their regular dialysis treatments.
What are the potential side effects?
Mannitol may cause side effects like fluid overload, electrolyte imbalances (like low sodium), headache, nausea, vomiting, and dizziness. However, these vary from person to person.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~4 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 4 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Secondary study objectives
Intra-dialytic hypotension
Patient Symptoms

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: MannitolExperimental Treatment1 Intervention
intravenous 20% mannitol, 0.25g/kg/hour (maximum 25g/hour; maximum 75g per session; maximum volume 375mL/session) as a continuous infusion during dialysis
Group II: PlaceboPlacebo Group1 Intervention
0.9% saline at a rate of 1.25mL/kg/hour (maximum volume 375mL) as a continuous infusion during dialysis
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Mannitol
2019
Completed Phase 4
~2900

Find a Location

Who is running the clinical trial?

Brigham and Women's HospitalLead Sponsor
1,653 Previous Clinical Trials
11,491,005 Total Patients Enrolled
Finnian R Mc Causland, MBBCH, MMScPrincipal InvestigatorBrigham and Women's Hospital

Media Library

Mannitol (Osmotic Diuretic) Clinical Trial Eligibility Overview. Trial Name: NCT04428372 — Phase 2 & 3
Hemodynamic Instability Research Study Groups: Mannitol, Placebo
Hemodynamic Instability Clinical Trial 2023: Mannitol Highlights & Side Effects. Trial Name: NCT04428372 — Phase 2 & 3
Mannitol (Osmotic Diuretic) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04428372 — Phase 2 & 3
~2 spots leftby Dec 2024